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VETERANS HOME OF CALIFORNIA

The information listed below provides an in-depth look into the type and quality of care offered at Veterans Home of California. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Special Care Low". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Veterans Home of California. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Clinically Complex

Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1

ADL Index Range: 11-14

- No Signs of depression

5.1%

ADL Index Range: 6-10

- No Signs of depression

8.8%

ADL Index Range: 2-5

- No Signs of depression

2.2%

ADL Index Range: 0-1

- No Signs of depression

11.0%

Total Percent:

27.2%

Reduced Physical Function

Urinary and/or bowel training program

Passive and/or active range of motion (ROM)

Amputation/prosthesis training

Dressing or grooming training

Eating or swallowing training

Transfer training

Splint or brace assistance

Bed mobility and/or walking training

Communication training

ADL Index Range: 0-1

- Less restorative nursing

14.7%

Total Percent:

14.7%

Rating Details For Veterans Home of California

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day

Reported

Expected

Registered Nurse (RN) Hours

1 Hour and 23 Minutes

56 Minutes

Licensed Practical/Vocational Nurse (LPN/LVN) Hours

1 Hour and 7 Minutes

38 Minutes

Certified Nursing Assistant (CNA) Hours

4 Hours and 23 Minutes

2 Hours and 12 Minutes

Total Licensed Nurse Hours

2 Hours and 30 Minutes

1 Hour and 34 Minutes

Total Nurse Hours

6 Hours and 53 Minutes

3 Hours and 47 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

California Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season

90-100%

87%

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

90-100%

86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained

-

7%

Percent of Long-Stay Residents Who Are More Depressed or Anxious

7%

9%

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores

9%

12%

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores

-

3%

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder

54%

58%

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased

11%

11%

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse

4%

10%

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

8%

5%

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair

2%

8%

Percent of Long-Stay Residents Who Lose Too Much Weight

5%

7%

Percent of Long-Stay Residents Who Have Moderate to Severe Pain

1%

4%

Percent of Long-Stay Residents Who Had a Urinary Tract Infection

4%

8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

90-100%

81%

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season

90-100%

83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium

-

2%

Percent of Short-Stay Residents Who Had Moderate to Severe Pain

15%

23%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/20/2010.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Administration

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.

Inspection Date: 08/21/2009

Correction Date: 09/23/2009

1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.

Inspection Date: 08/20/2010

Correction Date: 10/01/2010

Environmental

Provide Needed Housekeeping and Maintenance.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Keep All Essential Equipment Working Safely.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Have a Program to Keep Infection from Spreading.

Inspection Date: 08/21/2009

Correction Date: 09/23/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.

Inspection Date: 08/20/2010

Correction Date: 10/01/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Give Professional Services That Follow Each Resident's Written Care Plan.

Inspection Date: 08/21/2009

Correction Date: 09/23/2009

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.

Inspection Date: 08/20/2010

Correction Date: 10/01/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.

Inspection Date: 08/21/2009

Correction Date: 09/23/2009

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.

Inspection Date: 08/20/2010

Correction Date: 10/01/2010

Resident Rights

Send and Promptly Deliver Unopened Mail to Residents.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.

Inspection Date: 06/19/2008

Correction Date: 07/31/2008

Keep Each Resident's Personal and Medical Records Private and Confidential.

Inspection Date: 08/21/2009

Correction Date: 09/23/2009

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.

Inspection Date: 08/20/2010

Correction Date: 10/01/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Veterans Home of California, as well as complaints by residents or their family in the previous three years.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Formal Complaints

Degree of Harm

Residents Affected

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Veterans Home of California had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/01/2010.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Automatic Sprinkler Systems

Portable Fire Extinguishers.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Portable Fire Extinguishers.

Inspection Date: 08/25/2009

Correction Date: 09/16/2009

Automatic Sprinkler Systems That Have Been Maintained in Working Order.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Portable Fire Extinguishers.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Building Construction

Approved Construction Type or Materials.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Corridor and Hallway Doors That Block Smoke.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Corridor and Hallway Doors That Block Smoke.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Signs That State That Exit Doors Are to Be Kept Closed.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Electrical

Properly Installed Electrical Wiring and Equipment.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Properly Installed Electrical Wiring and Equipment.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Exits and Egress

Exits That Are Accessible at All Times.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Proper Medical Gas Storage and Administration Areas.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.

Inspection Date: 07/02/2008

Correction Date: 07/28/2008

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.

Inspection Date: 09/01/2010

Correction Date: 10/06/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.